山东大学耳鼻喉眼学报 ›› 2021, Vol. 35 ›› Issue (2): 28-33.doi: 10.6040/j.issn.1673-3770.1.2020.086

• 临床研究 • 上一篇    下一篇

低温等离子射频消融辅助咽旁间隙良性肿瘤切除的应用分析

朱华明,关建,茆松,张维天,易红良   

  1. 上海交通大学附属第六人民医院 耳鼻咽喉头颈外科/上海交通大学医学院 耳鼻咽喉研究所/上海市睡眠呼吸障碍疾病重点实验室, 上海 200233
  • 发布日期:2021-04-20
  • 通讯作者: 易红良. E-mail:yihongl@126.com; 张维天. E-mail:drzhangwt@163.com
  • 基金资助:
    上海市科技创新行动计划临床医学领域项目(19411950700)

Clinical analysis of low-temperature plasma radiofrequency ablation for benign tumors in the parapharyngeal space

ZHU Huaming, GUAN Jian, MAO Song, ZHANG Weitian, YI Hongliang   

  1. Department of Otorhinolaryngology & Head and Neck Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital/Otolaryngological Institute, Shanghai Jiao Tong University/Shanghai Key Laboratory of Sleep Disordered Breathing, Shanghai 200233, China
  • Published:2021-04-20

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摘要： 目的 探讨低温等离子射频消融技术应用于咽旁间隙良性肿瘤切除中的可操作性及疗效。 方法 回顾分析咽旁间隙良性肿瘤患者20例病历资料,术中应用低温等离子手术设备11例作为A组,未使用低温等离子9例作为B组。充分评估所有患者手术适应证,详细记录临床资料、术式选择、术中过程、病理结果及术后疗效。 结果 20例中以神经源性肿瘤居多(13/20例),其次为多形性腺瘤(4/20例)。A组手术方式以经口、经鼻等内侧径路为主(6/11例),B组全部为外侧径路。两组均有不同程度的并发症出现, B组1例复发。 结论 咽旁间隙肿瘤手术趋于安全、微创,根据肿瘤的位置、性质可选择不同的手术径路。低温等离子在经口、鼻等内侧径路咽旁间隙肿瘤手术中起到重要的作用。

关键词: 咽旁间隙, 头颈部肿瘤, 低温等离子, 外科手术, 手术入路

Abstract: Objective To evaluate the feasibility and effect of low-temperature plasma radiofrequency ablation(LTPRA)in the operation of benign tumors in the parapharyngeal space(PPS). Methods Twenty patients with benign tumors in the PPS who underwent surgery in our hospital from January 2012 to December 2018 were analyzed. Of the 20 patients, 11(group A)were treated with LTPRA and 9(group B)without LTPRA. All the patients were thoroughly evaluated before surgery. The clinical data, pathological results, and surgical information of patients were collected. Results In this study, neurogenic tumors were the most common benign tumors in the PPS(13 cases). Six patients in group A(of 11 cases)underwent the transoral or transnasal surgical approaches. In group B, all nine patients underwent lateral approaches. Surgical complications occurred in both groups. One recurrent case was observed from group B. Conclusion Surgery for PPS tumors tends to be safe and minimally invasive. Different surgical approaches can be selected according to the location and character of the tumor. LTPRA plays an important role in the operation of PPS tumors in transoral and transnasal approaches.

Key words: Parapharyngeal space, Head and neck tumors, Low-temperature plasma, Surgery, Surgical approach

中图分类号: 

  • R739.63
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